Yao Guoai, Mu Beina, Huang Zhigang, Feng Yali, Li Sheng, Wang Jinyu
School of Public Health, Gansu University of Traditional Chinese Medicine, Lanzhou 730000, China.
Lanzhou First People's Hospital, Lanzhou 730050, China.
Wei Sheng Yan Jiu. 2025 Jul;54(4):631-637. doi: 10.19813/j.cnki.weishengyanjiu.2025.04.015.
To investigate the relationship between sleep quality, social support, psychological resilience and mental health status of medical staff following bloodborne occupational exposure in a square pod hospital, and the mediating role of social support and psychological resilience.
A whole group sample of medical staff who had blood-borne occupational exposure in Lanzhou City Square Cabin Hospital from November to December 2022 were surveyed using self-administered general information questionnaire, Pittsburgh Sleep Quality Index(PSQI), self-reporting inventory(SCL-90) scale, social support rating scale(SSRS) and psychological resilience scale(CD-RISC), and SPSS 27.0 software and Process V 4.1 plug-in were used to analyze the quality of medical staff's sleep, psychological well-being, relationships between social support and psychological resilience were analyzed.
(1) A total of 332 medical personnel who had experienced blood-borne occupational exposure were investigated in this study. Most of them were male(n=254, 76.51%), mostly aged 26-45 years(n=262, 78.92%), and the majority of them were aged 11-19 years(n=138, 41.57%). The detection rate of needle stab injury was 73.49%(n=244), and the detection rate of sharp instrument injury was 82.53%(n=274). The detection rate of sleep disorder was 60.84%(n=202) and the positive rate of SCL-90 was 50.30%(n=167). (2) The total score of sleep quality was negatively correlated with the total score of social support(r=-0.257, P<0.01), the total score of mental resilience was negatively correlated with r=-0.276, P<0.01, and the total score of symptom checklist was positively correlated with r=0.580, P<0.01. The total score of SSCS was negatively correlated with the total score of social support(r=-0.286, P<0.01) and the total score of mental resilience(r=-0.403, P<0.01). The total score of social support was positively correlated with the total score of mental resilience(r=0.406, P<0.01). (3) Sleep quality had a direct negative effect on mental health, with an effect value of 11.83%(95%CI 0.462-1.386). Psychological resilience mediated the relationship between sleep quality and mental health, with an effect value of 5.43%(95%CI 0.093-0.837). Social support and psychological resilience mediated the relationship between sleep quality and mental health. mediating role, with an effect value of 2.66%(95%CI 0.080-0.353).
Overall poor sleep quality and mental health among medical staff following bloodborne occupational exposure in square pod hospitals, in which social support and psychological resilience play chain-mediated roles.
探讨方舱医院血源性职业暴露医务人员的睡眠质量、社会支持、心理韧性与心理健康状况之间的关系，以及社会支持和心理韧性的中介作用。
采用整群抽样法，对2022年11月至12月在兰州市方舱医院发生血源性职业暴露的医务人员进行调查，使用自行设计的一般资料问卷、匹兹堡睡眠质量指数（PSQI）、症状自评量表（SCL-90）、社会支持评定量表（SSRS）和心理韧性量表（CD-RISC），运用SPSS 27.0软件和Process V 4.1插件分析医务人员的睡眠质量、心理健康状况、社会支持与心理韧性之间的关系。
（1）本研究共调查332名发生血源性职业暴露的医务人员，其中男性居多（n=254，76.51%），年龄多在26-45岁（n=262，78.92%），工作年限多在11-19年（n=138，41.57%）。针刺伤检出率为73.49%（n=244），锐器伤检出率为82.53%（n=274）。睡眠障碍检出率为60.84%（n=202），SCL-90阳性率为50.30%（n=167）。（2）睡眠质量总分与社会支持总分呈负相关（r=-0.257，P<0.01），心理韧性总分与社会支持总分呈负相关（r=-0.276，P<0.01），症状自评量表总分与社会支持总分呈正相关（r=0.580，P<0.01）。SSCS总分与社会支持总分呈负相关（r=-0.286，P<0.01），与心理韧性总分呈负相关（r=-0.403，P<0.01）。社会支持总分与心理韧性总分呈正相关（r=0.406，P<0.01）。（3）睡眠质量对心理健康有直接负向影响，效应值为11.83%（95%CI 0.462-1.386）。心理韧性在睡眠质量与心理健康之间起中介作用，效应值为5.43%（95%CI 0.093-0.837）。社会支持和心理韧性在睡眠质量与心理健康之间起链式中介作用，效应值为2.66%（95%CI 0.080-0.353）。
方舱医院血源性职业暴露医务人员总体睡眠质量和心理健康状况较差，社会支持和心理韧性在其中起链式中介作用。
